Individual provider Active NPI

Norman A Ephraim, EDD

  • Counseling Psychologist
  • Lincoln, MA
National Provider Identifier
1477628774
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3961 Issued in MA
Practice address
3 Oakdale LN
Lincoln, MA 01773-1710
Phone
(781) 259-9911
NPI assigned
Nov 21, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3961 MA Primary

Addresses

Primary practice location

3 Oakdale LN
Lincoln, MA 01773-1710

Mailing address

3 Oakdale LN
Lincoln, MA 01773-1710
Phone (781) 259-9911

Other names 1

  • Dr. Norm Ephraim Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000298 MA Practitioner - Clinical Psychologist 8628009602 Practice locations: Lincoln, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3 Oakdale Lane
Lincoln, MA 01773-1710

3 Oakdale LN
Lincoln, MA 01773-1710
Phone (781) 259-9911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3961MAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1477628774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OAKDALE LN",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017731710",
            "telephone_number": "781-259-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OAKDALE LN",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017731710",
            "telephone_number": "781-259-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPHRAIM",
        "first_name": "NORMAN",
        "middle_name": "A",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "3961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORM",
            "last_name": "EPHRAIM",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lincoln, MA

Sources for this page

Verify at the official NPI Registry.